Nursing Experience of Using Chinese Herbal Enema to Reduce Creatinine in a Patient with Chronic Renal Failure

XU Tongtong

doi:10.12209/CAIM202510240002

您当前的位置：

首页 >

文章列表页 >

Nursing Experience of Using Chinese Herbal Enema to Reduce Creatinine in a Patient with Chronic Renal Failure

更新时间：2026-02-28

- Nursing Experience of Using Chinese Herbal Enema to Reduce Creatinine in a Patient with Chronic Renal Failure
- Clinical Archives of Integrative Medicine (2026)
- 作者机构：
  
  北京市健宫医院肾脏内科，北京， 100054
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202510240002
  CLC：
- Received：24 October 2025，
  
  Revised：2025-12-22，
  
  Accepted：23 December 2025，
  
  Online First：28 February 2026，
- 稿件说明：
移动端阅览
XU Tongtong. Nursing Experience of Using Chinese Herbal Enema to Reduce Creatinine in a Patient with Chronic Renal Failure[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI：

XU Tongtong. Nursing Experience of Using Chinese Herbal Enema to Reduce Creatinine in a Patient with Chronic Renal Failure[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI： 10.12209/CAIM202510240002.

摘要

本文总结1例70岁男性慢性肾衰竭急性加重患者的护理经验。患者入院时血肌酐水平升高，伴肉眼血尿及乏力等临床症状，在常规西医治疗基础上，联合应用中药保留灌肠等中医适宜技术，发挥清热凉血、健脾益肾的功效，辅助改善患者肾功能。护理过程中密切观察中药保留灌肠的不良反应，同时加强饮食指导与心理干预，有效提升患者的舒适度及治疗依从性。实践表明，中西医结合护理有助于降低患者血肌酐水平、改善临床症状，具有良好的辅助治疗效果及临床推广应用价值。

Abstract

This article summarizes the nursing experience of a 70-year-old male patient with acute exacerbation of chronic renal failure. Upon admission， the patient exhibited elevated serum creatinine levels， gross hematuria， fatigue， and other clinical symptoms. In addition to conventional Western medical treatment， integrated Chinese herbal retention enema and other appropriate Traditional Chinese Medicine （TCM） techniques were applied to exert heat-clearing， blood-cooling， spleen-strengthening， and kidney-tonifying effects， thereby assisting in improving renal function. During nursing care， close monitoring was conducted for adverse reactions related to the herbal enema， alongside intensified dietary guidance and psychological interventions， which effectively enhanced patient comfort and treatment compliance. The practice demonstrated that integrated Chinese-Western nursing could reduce serum creatinine levels， alleviate clinical symptoms， and serve as a valuable adjunctive therapy with promising clinical application.

关键词

Keywords

references

崔移明，彭贵军，胡心，等 . 基于数据挖掘及网络药理学探讨中药灌肠治疗慢性肾疾病的核心中药及机制［J］. 西安交通大学学报（医学版）， 2022 ， 43 （ 2 ）： 286 - 296 .

CUI Y M ， PENG G J ， HU X ， et al . The core traditional Chinese medicines and mechanism of traditional Chinese medicine enema treatment of chronic kidney disease based on data mining and network pharmacology ［J］. J Xi’an Jiaotong Univ Med Sci ， 2022 ， 43 （ 2 ）： 286 - 296 . （in Chinese）

张倩，张宁，李同侠，等 . 从传化之腑论治慢性肾衰竭［J］. 中国中医基础医学杂志， 2023 ， 29 （ 11 ）： 1931 - 1934 .

ZHANG Q ， ZHANG N ， LI T X ， et al . Treatment of chronic renal failure from the perspective of the fu-organs of transmission ［J］. J Basic Chin Med ， 2023 ， 29 （ 11 ）： 1931 - 1934 . （in Chinese）

谢钊志 . 基于中医传承辅助平台分析章念伟治疗脾肾亏虚型慢性肾衰竭的用药规律研究［D］. 南昌：江西中医药大学， 2024 .

黄雪莹，张宁，李翔宇，等 . 中药灌肠联合熏蒸辅助治疗脾肾阳虚、浊毒血瘀型慢性肾脏病3～5期非透析患者60例随机对照试验［J］. 中医杂志， 2024 ， 65 （ 7 ）： 703 - 709 .

HUANG X Y ， ZHANG N ， LI X Y ， et al . Chinese herbal enema combined with fumigation as adjunctive therapy for 60 cases of non-dialysis chronic kidney disease patients of stage 3-5 with spleen-kidney Yang deficiency and turbid toxin blood stasis pattern： a randomized controlled trial ［J］. J Tradit Chin Med ， 2024 ， 65 （ 7 ）： 703 - 709 . （in Chinese）

刘庆芝 . 中药灌肠治疗慢性肾衰竭患者的临床效果［J］. 内蒙古中医药， 2024 ， 43 （ 3 ）： 128 - 130 .

LIU Q Z . Clinical effect of traditional Chinese medicine enema on patients with chronic renal failure ［J］. Inn Mong J Tradit Chin Med ， 2024 ， 43 （ 3 ）： 128 - 130 . （in Chinese）

陈金娜，谢丽萍，黄源铭，等 . 中医药治疗慢性肾衰竭的研究进展［J］. 实用中医内科杂志， 2024 ， 38 （ 1 ）： 81 - 83 .

CHEN J N ， XIE L P ， HUANG Y M ， et al . Research progress of traditional Chinese medicine in the treatment of chronic renal failure ［J］. J Pract Tradit Chin Intern Med ， 2024 ， 38 （ 1 ）： 81 - 83 . （in Chinese）

朱蕊，李潇，赵富强 . 中药保留灌肠对慢性肾衰竭患者肾功能、炎性反应水平及肾脏血流状态的影响［J］. 国际移植与血液净化杂志， 2024 ， 22 （ 2 ）： 1 - 4 .

ZHU R ， LI X ， ZHAO F Q . Effect of Traditional Chinese Medicine retention enema on renal function， inflammatory response and renal blood flow in patients with chronic renal failure ［J］. Int J Transplant Hemopurification ， 2024 ， 22 （ 2 ）： 1 - 4 . （in Chinese）

张嘉宁，王耀巍，徐建龙 . 基于肠-肾轴探索中医药治疗慢性肾衰竭研究进展［J］. 中国中西医结合肾病杂志， 2024 ， 25 （ 11 ）： 1024 - 1027 .

ZHANG J N ， WANG Y W ， XU J L . Research progress of treating chronic renal failure with traditional Chinese medicine based on intestinal-renal axis ［J］. Chin J Integr Tradit West Nephrol ， 2024 ， 25 （ 11 ）： 1024 - 1027 . （in Chinese）

谢冬花 . 个性化护理联合全程健康教育对肾衰竭血液透析患者生活质量和疗效的影响分析［J］. 智慧健康， 2024 ， 10 （ 25 ）： 178 - 181 .

XIE D H . Effect analysis of individualized nursing combined with comprehensive health education on life quality and curative effect of hemodialysis patients with renal failure ［J］. Smart Healthc ， 2024 ， 10 （ 25 ）： 178 - 181 . （in Chinese）

张家浩，张腾飞 . 丹芪汤加中药灌肠治疗对糖尿病肾病患者炎性反应及肾功能的影响［J］. 临床医学工程， 2024 ， 31 （ 8 ）： 983 - 984 .

ZHANG J H ， ZHANG T F . Impact of danqi decoction combined with traditional Chinese medicine enema treatment on the inflammatory reaction and renal function of patients with diabetic nephropathy ［J］. Clin Med Eng ， 2024 ， 31 （ 8 ）： 983 - 984 . （in Chinese）

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Case Report on Combined Therapy of Herbal Retention Enema and Oral Chinese Herbal Medicine for Serum Creatinine Reduction

Traditional Chinese Medicine Nursing Rounds for a Patient with Chronic Renal Failure under the Integrated Medical-Nursing Model

Nursing Experience with Herbal Enema Combined with Herbal Ointment Massage for Incomplete Intestinal Obstruction in a Patient with Spleen Deficiency and Qi Stagnation Syndrome

Nursing Experience with Chinese Herbal Enema Combined with Auricular Acupoint Pressure for Intra-abdominal Infection： A Case Report

Nursing Experience of One Case of Abdominal Infection Treated with Auricular Point Pressing Pill Combined with Chinese Herbal Enema

Related Author

ZHANG Zhenyu

LIU Yating

LI Yuxin

LI Mengya

HU Fangfang

ZHANG Ruiting

WEN Xiaofang

MA Li

Related Institution

Department of Nephrology， Dongfang Hospital Beijing University of Chinese Medicine

Department of Gastroenterology， Beijing Daxing Integrated Traditional Chinese and Western Medicine Hospital

Department of Critical Care Medicine， Beijing Jiangong Hospital

Hemodialysis Room， East Hospital of Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine

Department 2 of Neurosurgery， Tsinghua University Hospital of Traditional Chinese and Western Medicine

⁰